Health Operations Associate

1 - 3 years

3.0 - 5.0 Lacs P.A.

Navi Mumbai

Posted:2 months ago| Platform: Naukri logo

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Skills Required

operational supportmacrosdata analysishealthcare operationsclaimsoperations managementproject managementhealth insuranceback office operationshealthcare managementus healthcarebusiness analysishospital administrationhospital management

Work Mode

Work from Office

Job Type

Full Time

Job Description

Skill required: Operations Support - Pharmacy Benefits Management (PBM) Designation: Health Operations Associate Qualifications: Bachelor of Pharmacy Years of Experience: 1 to 3 years Language - Ability: English(Domestic) - Intermediate What would you do? Embedding digital transformation in healthcare operations end-to-end, driving superior outcomes and value realization today, and enabling streamlined operations to serve the emerging health care market of tomorrowYou will be a part of the Healthcare Claims team which is responsible for the administration of health claims. This team is involved in core claim processing such as registering claims, editing & verification, claims evaluation, and examination & litigation.In Pharmacy Benefits Management, you will be responsible for the business processes, operations and interactions of third party administrators of prescription drug programs, understanding of the processes used to manage programs for payers, process and pay prescription drug claims, develop and maintain the formulary, contract with pharmacies and negotiate discounts and rebates with drug manufacturers. What are we looking for? Excel Analytics Microsoft Excel Microsoft Excel Data Analysis Ability to handle disputes Ability to meet deadlines Ability to perform under pressure Adaptable and flexible Agility for quick learning Microsoft Excel Functions Microsoft Excel Macros Roles and Responsibilities: In this role you are required to solve routine problems, largely through precedent and referral to general guidelines Your expected interactions are within your own team and direct supervisor You will be provided detailed to moderate level of instruction on daily work tasks and detailed instruction on new assignments The decisions that you make would impact your own work You will be an individual contributor as a part of a team, with a predetermined, focused scope of work Please note that this role may require you to work in rotational shifts Qualifications Bachelor of Pharmacy

Professional Services
Dublin

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